2019-2020 FASFEPA/ECTAC Spring Forum Registration
2019-2020 FASFEPA/ECTAC Spring Forum
April 28-30, 2020
Hyatt Regency Jacksonville Riverfront
Jacksonville, Florida


To avoid paying a late fee, please submit this form by close of business April 6th, 2020 and make payment (via PayPal or purchase order) by 5:00 pm EST on Monday, April 13, 2020. Please note: Forum registration has not been completed until payment has been processed through PayPal or a purchase order has been received. If payment or purchase order has not been received by April 13, 2020, your Forum registration will be considered canceled.

No refunds will be issued after April 13, 2020
Attendee Last Name *
Your answer
Attendee First Name *
Your answer
District/Affiliation *
Your answer
Title *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Attendee Email *
Your answer
Name and contact email of person completing this registration if other than attendee:
Your answer
Registration Type (BEFORE 5:00 pm EST April 6, 2020) *
Please Note: No refunds will be granted after April 13, 2020
Please print this form for your records before submitting
For Questions on Forum registration, please contact Diane Dannemiller
at fasfepa@hotmail.com.
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